TY - JOUR T1 - Hysteroscopic removal of retained products of conception following first trimester medical abortion. AU - Smorgick,Noam, AU - Levinsohn-Tavor,Orna, AU - Ben-Ami,Ido, AU - Maymon,Ron, AU - Pansky,Moty, AU - Vaknin,Zvi, Y1 - 2017/06/13/ PY - 2016/11/29/received PY - 2017/03/15/revised PY - 2017/05/23/accepted PY - 2018/9/27/entrez PY - 2018/9/27/pubmed PY - 2018/9/27/medline KW - abortion KW - hysteroscopy KW - intrauterine adhesions KW - retained products of conception SP - 183 EP - 185 JF - Gynecology and minimally invasive therapy VL - 6 IS - 4 N2 - Study Objective: To investigate the use of operative hysteroscopy instead of traditional curettage in women with retained products of conception (RPOC) following first trimester medical abortion, with the aim of reducing post-operative intrauterine adhesions. Design: Retrospective study. Setting: Gynecology department in a University affiliated hospital. Patients: All women treated by hysteroscopy for RPOC following first trimester medical abortion using the mifepristone-misoprostol protocol for pregnancy termination or the misoprostol protocol for early missed abortion from January 2013 to August 2016. Intervention: Operative hysteroscopy for removal of RPOC. Post-operative intrauterine adhesions were assessed by diagnostic office hysteroscopy after 6-8 weeks. Measurements and Main Results: 50 cases were identified. The mean time from medication administration to the operative hysteroscopy was 1.7 ± 0.7 months. Operative hysteroscopy with blunt use of the resectoscopic loop was used to remove all specimens, and all procedures were completed without intra-operative complications. Two patients (4.0%) were readmitted for fever. Pathology confirmed the presence of RPOC in 45 (90.0%) cases. On follow-up office hysteroscopy, a normal uterine cavity without evidence of intrauterine adhesions was seen in 29/29 (100%) women. Conclusion: Hysteroscopy for removal of RPOC following medical abortion is associated with low rates of complications and post-operative intrauterine adhesions. SN - 2213-3070 UR - https://www.unboundmedicine.com/medline/citation/30254910/Hysteroscopic_removal_of_retained_products_of_conception_following_first_trimester_medical_abortion_ L2 - https://linkinghub.elsevier.com/retrieve/pii/GMIT-6-183 DB - PRIME DP - Unbound Medicine ER -